Active NPI
Sabrina Simmons
- Social Worker
- Chicago, IL
National Provider Identifier
1609592633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.106881
- Practice address
- 56 E 47TH St
Chicago, IL 60653-3818 - Phone
- (312) 577-7285
- NPI assigned
- Oct 12, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.106881 | IL | Primary |
Addresses
Primary practice location
56 E 47TH St
Chicago, IL 60653-3818
Mailing address
14729 Clifton Park Ave
Midlothian, IL 60445-3601
Phone (708) 818-8288
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sabrina@growingboundlessly.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | Sabrina@growingboundlessly.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150.106881 | IL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665532800000",
"number": "1609592633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14729 CLIFTON PARK AVE",
"city": "MIDLOTHIAN",
"state": "IL",
"postal_code": "604453601",
"telephone_number": "708-818-8288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 E 47TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606533818",
"telephone_number": "312-577-7285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "SABRINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-12",
"last_updated": "2022-10-12",
"certification_date": "2022-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.106881",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sabrina@growingboundlessly.com",
"affiliation": "N",
"endpointDescription": "Psychotherapy",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "56 E 47th St",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606533818",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Sabrina@growingboundlessly.com",
"affiliation": "N",
"endpointDescription": "Psycotherapist",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "56 E 47th St",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606533818",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.